Provider Demographics
NPI:1952646580
Name:JODY M. STRATTON & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:JODY M. STRATTON & ASSOCIATES, INC.
Other - Org Name:COMMUNICATION DEVELOPMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:STRATTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:714-957-4074
Mailing Address - Street 1:151 KALMUS DR
Mailing Address - Street 2:SUITE A101
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5988
Mailing Address - Country:US
Mailing Address - Phone:714-957-4074
Mailing Address - Fax:714-434-1895
Practice Address - Street 1:151 KALMUS DR
Practice Address - Street 2:SUITE A101
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5988
Practice Address - Country:US
Practice Address - Phone:714-957-4074
Practice Address - Fax:714-434-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP11598235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty